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International Journal of Social Psychiatry
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The Relationship Between Staff Members' Working Conditions and Patients' Perceptions of the Treatment Environment

Jan Ivar Rossberg

Ullevaal University Hospital, 0407 Oslo, Norway, and University of Oslo, 0407 Oslo, Norway, j.i.rxssberg{at}medisin.uio.no

Ingrid Melle

Ullevaal University Hospital, 0407 Oslo, Norway, and University of Oslo, 0407 Oslo, Norway

Stein Opjordsmoen

Ullevaal University Hospital, 0407 Oslo, Norway, and University of Oslo, 0407 Oslo, Norway

Svein Friis

Ullevaal University Hospital, 0407 Oslo, Norway

Background: The psychosocial climate of inpatient units has proved to be related to both patient satisfaction and outcome.

Aims: The aims of the study were twofold: to study the relationship between patient and staff satisfaction, and to study the relationship between the patients' perception of the treatment environment and the perceived working conditions of the staff.

Method: A total of 129 different patients completed the Ward Atmosphere Scale (WAS) and a General Satisfaction Index (GSI) at 11 time points between 1981 and 2000. Staff members completed the Working Environment Scale-10 (WES-10) and the GSI. Z-scores were calculated to describe the fluctuations in the WAS, WES-10 and the GSI subscale scores.

Results: The study revealed a strong correlation between patient satisfaction and staff satisfaction. Staff satisfaction correlated significantly with the WAS subscales of Practical orientation and Staff control. Furthermore, the study revealed a significant correlation between patient satisfaction and staff members' perception on the WES-10 subscale of Self-realization.

Conclusion: This exploratory study revealed that the working conditions of staff are related to both patient satisfaction and the patients' perceptions of the treatment environment. A satisfactory working environment for psychiatric staff members seems important for the quality of care perceived by patients.

Key Words: mental health service • patient satisfaction • staff satisfaction • treatment environment

International Journal of Social Psychiatry, Vol. 54, No. 5, 437-446 (2008)
DOI: 10.1177/0020764008090689
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